Community health workers and Covid-19: Cross-country evidence on their roles, experiences, challenges and adaptive strategies

PLOS Global Public Health, Journal Year: 2023, Volume and Issue: 3(1), P. e0001447 - e0001447

Published: Jan. 4, 2023

Community health workers (CHWs) are a key part of the workforce, with particular importance for reaching most marginalised. CHWs' contributions during pandemics have received growing attention, including COVID-19. This paper contributes to learning about experiences COVID-19, based on evidence from India, Bangladesh, Pakistan, Sierra Leone, Kenya and Ethiopia. The synthesises set research projects undertaken over 2020-2021. A thematic framework focus related literature was used code material reports. Following further analysis, interpretations were verified original teams. CHWs made important COVID-19 response, in surveillance, community education, support people There some work, training, personal protective equipment financial incentives. However, varied between countries, cadres individual CHWs, there significant gaps, leaving vulnerable infection stress. also faced range other challenges, system issues such as disrupted medical supply chains, insufficient staff high workloads, difficulty female who balancing domestic responsibilities. Their work affected by public measures, restrictions gatherings travel; supply-side constraints access attitudes, distrust stigmatization infectious or informers. demonstrated commitment adapting their example ensuring patients had adequate drugs advance lockdowns, using own money time address increased transport costs higher workloads. Effectiveness these adaptations varied, involved coping context inadequate support. CHW critical effective response disease outbreaks, like To contribution protect wellbeing, need resources, managerial support, motivation.

Language: Английский

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Service disruptions, trauma and burnout during the COVID-19 pandemic among healthcare providers delivering immunisation and maternal and child health services in Indonesia

BMJ Global Health, Journal Year: 2024, Volume and Issue: 9(6), P. e014318 - e014318

Published: June 1, 2024

Background The COVID-19 pandemic resulted in extreme strain on health systems including the workforce, essential services and vaccination coverage. We examined disruptions to immunisation maternal child (MCH) services, concerns of personal well-being delivery healthcare during as well factors associated with self-reported trauma or burnout among providers (HCPs). Methods In March–April 2022, we conducted a cross-sectional survey HCPs two provinces Indonesia. involved routine MCH were randomly selected from district/city office registration lists. descriptively analysed service experienced by trauma, pandemic. Multivariate logistic regression analyses undertaken identify burnout. Results recruited 604 HCPs. Mobilisation staff response duties was key reason for (87.9%). Strategies such community outreach task shifting implemented overcome disruptions. Trauma reported 64.1% HCPs, 23.5% reporting worse mental emotional health. Factors included (adjusted OR (aOR) 2.54, 95% CI 1.08 5.94); both compared no involvement programmes (aOR 2.42, 1.06 5.52); poor treatment workplace 2.26, 1.51 3.38) lower confidence respond patient queries 1.51, 1.03 2.22). Conclusion disruptions, strategies minimise improve experiences. Our study highlights need ensure that workforce resilience protect support are considered planning, preparedness management.

Language: Английский

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Exploring the Relationship between Perceived Community Support and Psychological Well-Being of Tourist Destinations Residents

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(21), P. 14553 - 14553

Published: Nov. 6, 2022

To explore the relationship between community support in tourist destinations and residents' psychological well-being post-COVID-19 pandemic period, this study adopts questionnaire survey method draws following conclusions by constructing a structural equation model: (1) perceived is very helpful for of residents, (2) resilience significantly mediates well-being, (3) resident-tourist interaction (4) play an ordered chain-mediating role well-being. These findings not only fill gap tourism research regarding destination-based studies but also provide theoretical basis maintaining given destination context COVID-19 pandemic. certain extent, improving promoting healthy sustainable development activities realizing "win-win" situation which develop economically while their living standards.

Language: Английский

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Community health workers and the communicative transformation of work-life interrelationships during the COVID-19 pandemic

Journal of Computer-Mediated Communication, Journal Year: 2023, Volume and Issue: 28(4)

Published: June 12, 2023

Abstract This study focuses on work-life interrelationships for community health workers (CHWs) during the COVID-19 pandemic. CHWs serve as liaisons between marginalized communities and human service organizations to facilitate access services. Required physical distancing transformed their work from embodied, face-to-face interaction almost wholly mediated by communication technologies. Interviews were conducted with 52 participants identify CHWs’ adaptive strategies communication, consequences of adaptations experience interrelationships, communicative management negative unintended consequences. Communicative practices that emergent participant accounts are examined through lenses four mutually informing research frameworks: impact technologically remote technological capital differentiated digital inequalities, text work/body continuum, gendered emotional work. Implications future community-based care other respect technology, managing boundaries examined.

Language: Английский

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The Gendered Experience of Close to Community Providers during COVID-19 Response in Fragile Settings: A Multi-Country Analysis

Social Sciences, Journal Year: 2022, Volume and Issue: 11(9), P. 415 - 415

Published: Sept. 11, 2022

Many countries, and particularly those including fragile contexts, have a shortage of formal health workers are increasingly looking to close-to-community (CTC) providers fill the gap. The experiences CTC shaped by context-embedded gender roles relations. This qualitative research study in Lebanon, Nepal, Myanmar Sierra Leone explored gendered during COVID-19 pandemic settings. We used document review, in-depth interviews or focus group discussions with providers, key informant local stakeholders generate contextual information. COVID-19-associated lockdowns school closures brought additional stresses, division labour acutely felt women providers. Their work is poorly not remunerated seen as risky. embedded within their communities strong willingness serve. However, they experienced fractures community trust were sometimes viewed risk. During COVID-19, responsibilities on top routine family commitments, gender, always receiving support required. Understanding experience through lens critical developing equitable inclusive approaches response future crises.

Language: Английский

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Perceptions around occupational mental well-being of community health workers and an intervention package for its promotion: a mixed-methods study in rural Chiapas, Mexico

SSM - Mental Health, Journal Year: 2024, Volume and Issue: unknown, P. 100360 - 100360

Published: Oct. 1, 2024

Language: Английский

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Burnout and mental distress among community health workers in low- and middle-income countries: a scoping review of studies during the COVID-19 pandemic

Global Health Journal, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 1, 2024

Language: Английский

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Optimalisasi Kesehatan Jiwa melalui Pelatihan Kader Kesehatan pada Masa Pandemi Covid-19 di Kelurahan Tobek Gadang, Kota Pekanbaru

Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigermas), Journal Year: 2023, Volume and Issue: 1(1), P. 36 - 42

Published: Feb. 14, 2023

Corona virus disease 19 merupakan penyakit infeksi pada sistem saluran pernapasan. Kasusnya Covid-19 terus meningkat dan telah menyebar hampir keseluruh belahan dunia termasuk Indonesia. Dampak yang ditimbulkan tidak hanya masalah kesehatan fisik, namun juga psikologis atau mental. dirasakan oleh masyarakat di Kelurahan Tobek Godang adalah stres cemas akibat pembatasan social, takut tertular, stress dalam membimbing anak belajar rumah bahkan mengalami finansial. Pelatihan ini bertujuan untuk mengetahui gambaran mental, melakukan pendidikan berupa edukasi pelatihan penanganan seperti teknik napas dalam, relaksasi otot progresif, hipnotis lima jari. Kegiatan dilakukan Kota Pekanbaru. Khalayak sasaran kader berjumlah 20 orang. Rata-rata pengetahuan sebelum diberikan diperoleh 63 poin, sedangkan setelah menjadi 90.5 poin. Peningkatan cukup signifikan sebesar 27,5 % mampu berbagai strategi stres. Setelah pelatihan, diharapkan dapat menerapkan jiwa kepada sekitar terdampak pandemi Covid-19.

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Integrating Grief Counseling in Responses to Disasters and Epidemics

Indian Journal of Social Psychiatry, Journal Year: 2023, Volume and Issue: 40(3), P. 206 - 211

Published: July 21, 2023

The COVID-19 pandemic, like other disasters and pandemics that have preceded it, has forced us to deal with the aftermath of preventable deaths, alongside despair grief, which may impact for many years come. It also reinforced need develop better protocols physicality disaster pandemic situations, emotional brought on due grief loss. There is an urgent a comprehensive response will be far reaching inclusive can integrated in all responses pandemics. objective study advocate development protocol counseling at center disaster/pandemic management. suggests some recommendations mainstreaming within current Psychological First Aid followed during situations.

Language: Английский

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